Organization
BERKSHIRE NURSE PRATITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE WASHBURN FNP-C (PRESIDENT)
(413) 447-7511
Entity
Organization
Contact information
Practice address
610 NORTH ST, PITTSFIELD, MA 01201-4105
(413) 447-7511
Mailing address
610 NORTH ST, PITTSFIELD, MA 01201-4105
(413) 447-7511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00033474
HEALTHNET
MA
01
—
10013041
CDPHP
MA
01
—
661547
TUFTS
MA
05
—
9755730
—
MA
01
—
M19195
BCBS OF MASS
MA
Enumeration date
06/07/2007
Last updated
09/23/2008
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